Active NPI
Roxanne Hickey, RDH
- Dental Hygienist
- San Antonio, TX
National Provider Identifier
1366103160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 9487
- Practice address
- 3145 Garden Ave BLDG 1278
Jbsa Fort Sam Houston
San Antonio, TX 78234 - Phone
- (210) 808-3735
- NPI assigned
- Jan 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 9487 | TX | Primary |
Addresses
Primary practice location
3145 Garden Ave BLDG 1278
Jbsa Fort Sam Houston
San Antonio, TX 78234
Mailing address
3145 Garden Ave BLDG 1278
Jbsa Fort Sam Houston
San Antonio, TX 78234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1366103160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3145 GARDEN AVE BLDG 1278",
"address_2": "JBSA FORT SAM HOUSTON",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3145 GARDEN AVE BLDG 1278",
"address_2": "JBSA FORT SAM HOUSTON",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-808-3735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "ROXANNE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-04",
"last_updated": "2022-01-04",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "9487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.